1. Community
  2. Eyes
  3. Cataract

Experience with Eyhance, Rayner EMV, Vivity?

Posted , 8 users are following.

aspen88
aspen88

Hi! I am trying to choose between these 3 lenses. I understand the differences conceptually and that there is no perfect lens. Just want to hear first hand experiences with these lenses. Thanks!

0 likes, 33 replies

33 Replies

Prev
  • Lynda111
    Lynda111 aspen88

    Edited

    I targeted intermediate in both eyes because I work with a computer everyday and it was important for me that I be able to see at intermediate distance. My cataract surgeon said, " You have been nearsighted all your life, so you should stay that way. After cataract surgery, you will still need glasses for distance, but they won't be as thick as what you have now." But as I am basically glasses free. My surgeon said it was because of where "the axis fell." My case was an unusual one. It doesn't normally work out like that.

    Now, in your case, well, it depends on what you want your outcome to be after cataract surgery. If you want to be glasses-free or almost glasses free, then you would go with mini-monovision. @RonAKA here can advise you more about that. But if you want to stay nearsighted and not use glasses for the computer or your phone, you would target near/intermediate and wear glasses just for distance, as I thought I was going to do. @Bookwoman here has done that. Or you could target distance and wear glasses for intermediate/near.

    There are different ways to go about it

    • aspen88
      aspen88 Lynda111

      Posted

      thank you. that's interesting. that may be a solution for me coz I am also working on the computer all day. might be better for me to target intermediate instead of distance.

    • Lynda111
      Lynda111 aspen88

      Edited

      If Bookwoman doesn't chime in, you can send her a Message and she can tell you more specifically what she had done.

    • Bookwoman
      Bookwoman aspen88

      Edited

      Here I am. 😃 I have -2 Acrysof IQ monofocals in both eyes. One eye wound up at -2.5, so I have mini (or micro depending on your definition) monovision. I wear progressive glasses when I go outside, but indoors only for watching TV. I don't need glasses at all for reading or computer use, or for doing 99% of things around the house.

      I've been severely nearsighted since I was a child, so I now see at all distances much better than I ever have. I didn't expect my vision to be as good as it is, so I've been delighted with the outcome.

    • aspen88
      aspen88 Bookwoman

      Posted

      thanks for your reply. when I called the doctor they said that they typically do distance. did the doctor suggest you target near or did you have to insist on it? i just dont know if i have confidence in letting him do near if he does not do it regularly. also the doctor's office said they will only do mono if i have used it for contacts which i have not. have u tried it before u had the surgery? do you need glasses just walking in the office for example? if you dont, isnt it very blurry that you cannot recognize people?

    • Bookwoman
      Bookwoman aspen88

      Edited

      OK, let's take your questions in order.

      1. My surgeon is also my ophthalmologist of many years, so he knows me well and knows that I spend much of my day reading or on the computer. He's the one who suggested near vision, as "it's what your brain is used to."
      2. My mini-monovision wasn't targeted, it just turned out that way. In fact my doctor suggested it, but knowing that what goes in doesn't always come out (we're dealing with biology, not machines, so the target can be off once things have healed), I wanted to have the same lens put in both eyes.
      3. The fact that I wound up with a .5 diopter discrepancy between my eyes has worked out very well for me, but it could have been even greater, and I didn't want to risk that. I had tried monovision years ago with contact lenses, and always felt a bit "off", but I imagine there was more of a discrepancy between the prescriptions than would be used now.
      4. I don't have to wear glasses walking into an office, or out at a restaurant - I can certainly recognize people across a table, for example. But when I'm out of the house I always have them on, as I see perfectly at all distances with them. And at my age (65) I think they add something to my face: they're free eye makeup. 😃
    • Lynda111
      Lynda111 aspen88

      Edited

      Aspen,

      It's YOUR EYES., not your surgeon's eyes. A cataract surgeon should not care how you target your vision. It's a personal preference. I consulted with 3 surgeons. I remember one that I saw asked me, "How do want me to target your vision, near, intermediate or distance?" It should not be technically difficult to target near. If he can do distance, he can do near. It's all in how they make their calculations. Ron can address that in detail, if you like.

      Some cataract surgeons (and some surgeons in general) tend to be "bossy." They all have their own personalities. Like I said initially, you want someone who is willing to listen to you and take time with you. Now, as far as monovision goes, all 3 surgeons I saw told me to try it with contacts first, but as it was, I decided to target intermediate in both eyes and it worked out well for me.

      Unless your insurance plan or where you live has you "stuck" with your particular cataract surgeon, consult with others. Or maybe you and your cataract surgeon can come to a mutual agreement.

    • Lynda111
      Lynda111 aspen88

      Edited

      If you want near/intermediate vision, your cataract surgeon should follow your wishes. And if he can target distance, he can target near. It is not technically difficult.

      If you and your cataract surgeon can't come to a mutual agreement, then get other opinions. I consulted with three cataract surgeons.

    • aspen88
      aspen88 Lynda111

      Posted

      thanks. did you get dilated 3 times when you consulted 3 doctors?

  • Lynda111
    Lynda111 aspen88

    Edited

    Two of the surgeons I saw were 2 hrs away from me and since I was going to have to drive myself to see them, they agreed to do a non-dilated exam.

  • RonAKA
    RonAKA aspen88

    Edited

    You may also want to look into the B+L enVista. It uses neutral asphericity and may produce a better outcome than any of those three choice. The Vivity however will produce the best intermediate vision, but with a slightly higher risk of optical side effects.

Back to top
Prev

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.